For the most part, at this point, I thought hearing anything new about my condition from the sledding accident of last Christmas would never happen. I thought all I had to look forward to was my slow, methodical recovery. Boy, was I wrong.

Since suffering the fracture to my L1 vertebrae, and later on hearing there was a slight deviation in my L5, a fracture and deviation to my sacrum, and another fracture to my coccyx — yes, all from the sledding accident — my recovery has been slow and steady, but also remarkable according to my primary care physician and the orthopedist. The addition of P90X, which I enjoyed for 5 weeks back in May 2010, also helped me greatly as many of the stretches and workouts encouraged recovery.

It was 2 months ago, early October 2010, that I noticed my recovery had halted. I was not on P90X anymore (at that point), but I had taken up playing indoor soccer for a team on a men’s league. The pain on my tailbone (coccyx), and lower back (sacrum and L5 vertebrae), was not any worse, but it was not any better then it had been a month prior when I peaked recovery. The tightness in my muscles around the L1 vertebrae were also about the same. Something had to be done. Something had to get me over this hump. Cherisse reminded me about physical therapy. So I called my doctor’s office and made an appointment so I could get a referral to physical therapy.

Skip the visit to the doc’s office, and stopping by the orthopedists the next day to get a shot of cortisone into the inside portion of my right elbow (yes, I have tendinitis as a result of an injury sustained during a basketball game), and we arrive to December 10, 2010 and my appointment with the Physical Therapist.

After filling out and signing all the necessary forms, and taking a quick nap as waited for my turn, I was finally called inside. I was led through a big workout room with all kinds of fun, colorful workout equipment, and into a private room where I waited a few minutes for the therapist. The nice older lady knocked on the door before coming in and greeting me with a very big smile and a firm handshake. She asked about my accident, the injuries sustained, my pain levels initially, my recovery, my current discomfort and pain levels, and what I expect physical therapy to accomplish. She was very thorough and took down a lot of notes.

I explained to her that my intentions of taking physical therapy was to encourage a full recovery, and at the least regain a bit more mobility and flexibility. The therapist conquered, and she began the session with some assessment tests.

I bent down, sideways, backwards, over and under, and whatever way she asked so she could get a good look at my movement. She then had me lay down, on my stomach, on the bed, and she started feeling for tension, tenderness, and oddities in my back from the L1 down. The therapist continued to take many notes, and it was then, in the middle of the assessment that she seemed to stumble upon something. She made a few hums and groans as she felt on and around my sacrum. After righting down a few more notes she asked me to sit up. She jumped right into telling me she found something rather interesting.

My physical therapist explained that as she was feel my sacrum she found that there was a strong deviation in its placement. Basically, my sacrum had rotated. She called it a Right-On-Right Sacral Rotation. The best way to describe it is if you put the back of your hand a foot in front of your face, then pretend you want to rotate it by pushing on the left side of the hand and letting the right side swing slightly closer to you. It’s very hard to do, but that is basically what my sacrum did in the accident.

My therapist asked me a few more questions about my mobility and the issues I would run into especially if I was lifting my right knee high into the air. I was kind of surprised because that movement was an issue for me I had forgot to bring up. I explained to her that whenever I kicked up with my right knee in a workout, I would feel pain, discomfort, and sometimes a snap as if bone passed and rubbed up on another bone. Her eyes widened and she confirmed that the rotated sacrum was the culprit of most of my lower back pain. It all started to make sense.

Since the left side of my sacrum has rotated in (towards my front), the x-ray technician that had many months earlier detected an odd pocket of air that was causing me discomfort, had unknowingly stumbled upon the rotated sacrum. That explains my usual pain on the left side. Then the fact that the right side of the sacrum has rotated out (towards my back) explains the pain and discomfort when I level my thigh horizontally towards the front, causing a normal slight rotation in my hip that interferes with the right side of the sacrum. Wow!

My therapist went on to explain to me that it all can be corrected, and quite possibly without any evasive measures. All it would take is a few minutes a day to perform a few stretches.

For the next twenty minutes she showed, and let me practice, stretches that I have been doing, once done before, and a few that I have never seen, including one specifically developed to correct a Right-On-Right Sacral Rotation. After wards, she explained that if I don’t feel a difference, or I’m still uncomfortable, after 3 weeks, I can talk to my doctor and he’ll recommend another session, or more, if needed.

My therapist handed me a stack of papers with instructions on how to properly perform the stretches I just practiced. And with the instructions in hand, I thanked her for her time and insight, and bounced out of the office.

I’m excited to know what is wrong with me, and even more excited to know it is correctable. I’m hopeful that with a little bit of time, and a commitment to performing the stretches faithfully everyday, my rotated sacrum will be no more. We’ll just have to wait and see.